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The islets of Langerhans are regions of the human pancreas that contain endocrine (hormone-producing) cells, constituting 1% to 2% of pancreas volume. There are four main types of endocrine cells within the islets of Langerhans: alpha (α) cells, beta (β) cells, delta (δ) cells and to a lesser degree the pancreatic polypeptide (PP) cells. Of these populations, the β-cells account for between 65–80% of the pancreatic islets, and whilst predominately responsible for the secretion of the hormone insulin, they also co-secrete C-peptide and amylin. Collectively, the cells in the islets of Langerhans are pivotal in glycaemic regulation and homeostasis.

Basal insulin reductions in anticipation of multiple exercise sessions in people with type 1 diabetes—a clinical perspective